Susan Gearhart, M.D.
NPI 1245277029 · Surgery Physician · Baltimore, MD
Enrolled with Medicare as Practitioner - Colorectal Surgery (proctology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Gearhart, M.D. is a Surgery Physician provider in Baltimore, MD (NPI 1245277029).
Provider details
- NPI number
- 1245277029
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- D55988 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
187 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 57 | $67 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 48 | $137 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 37 | $84 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 20 | $96 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 14 | $192 |
| Partial Release of Large Bowel and Partial Removal of Large Bowel Using an Endoscope |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$491 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2013-02-06
Frequently asked questions
- What is Susan Gearhart's NPI number?
- Susan Gearhart's National Provider Identifier (NPI) is 1245277029, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Gearhart's specialty?
- Susan Gearhart is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Susan Gearhart located?
- Susan Gearhart's practice location on file with NPPES is 600 N Wolfe St, Baltimore, MD 21287-0005.
- What is Susan Gearhart's phone number?
- The practice phone number listed in the NPPES registry for Susan Gearhart is (410) 955-5464.
- Does Susan Gearhart accept Medicare?
- Susan Gearhart is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Gearhart's NPI active?
- Yes — Susan Gearhart's NPI (1245277029) is active in the NPPES registry as of the last update on 2013-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.